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July 20, 2025PLoS ONEOpen Access

Systematic review on biomechanical effects of high-velocity, low amplitude spinal manipulation

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Authors

ALAnke LangenfeldMBMirjam BaechlerJSJaap Swanenburg

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Overview

Systematic review demonstrates increased cervical range of motion with HVLA thrusts, highlighting implications for clinical effectiveness in spinal manipulation.

Key Points

  • HVLA thrusts increase cervical range of motion based on evidence from 27 studies with varying biases.
  • Cervical HVLA thrusts showed positive effects in 9 out of 15 studies, suggesting reliability in results.
  • Studies on thoracic HVLA thrusts confirmed increased range of motion with all 8 studies reporting positive effects.
  • Heterogeneity among studies limits conclusions on other biomechanical effects and their linkage to clinical outcomes.

Cite This Study

Langenfeld et al. (2025) studied this question.

synapsesocial.com/papers/689a02c9e6551bb0af8ccf97https://doi.org/10.1371/journal.pone.0328048
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Safety and therapeutic outcomes of cervical high-velocity low-amplitude manipulation in clinical practice: a review2025 · 1 citations
  2. 2Efficacy of Spine High-Velocity-Low-Amplitude Thrust Manipulations in Patients With Radiculopathy: A Systematic Review With Meta-Analysis2025 · 2 citations
  3. 3The Potential Mechanisms of High-Velocity, Low-Amplitude, Controlled Vertebral Thrusts on Neuroimmune Function: A Narrative Review2021 · 16 citations
  4. 4Comparison of Kaltenborn-Evjenth, McKenzie, and HVLA Manipulation Techniques in the Treatment of Lumbar Spine Pain: A Review of the Literature2025 · 1 citations
  5. 5Autonomic Effects of Spinal Manipulative Therapy: Systematic Review of Randomized Controlled Trials2019 · 45 citations